NPI | 1881670891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA07774900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07774900) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2013-07-15 |