| NPI | 1922295799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10200000) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10200000) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 265750) | |
| 207R00000X Internal Medicine (Licence: NY 265750) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 265750) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA10200000) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2019-08-19 |