| NPI | 1942760491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.152160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12039800) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA12039800) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-01-14 |