| NPI | 1831414440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NJ 25MA08954900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08954900) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2015-05-06 |