| NPI | 1962881516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA11092400) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MT209003) |
| 207R00000X Internal Medicine (Licence: PA MD465319) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2021-07-23 |