| NPI | 1740677749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11725100) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: NJ 25MA11725100) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2024-04-02 |