| NPI | 1851351282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08026600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237432) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-01-10 |