| NPI | 1932289915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA07704000) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA07704000) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ MA07704000) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-09-23 |