| NPI | 1831374305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08368800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240705) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA08368800) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-04-26 |