| NPI | 1821137225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03791900) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA03791900) |
| 207R00000X Internal Medicine (Licence: NJ 37919) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-06-10 |