| NPI | 1871702977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08914100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088456) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-09-09 |