| NPI | 1841271269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA11759300) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35090011) |
| 207R00000X Internal Medicine (Licence: NJ 25MA11759300) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2024-05-01 |