| NPI | 1871811711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB09323700) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 291639) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MB09323700) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2025-08-04 |