| NPI | 1992722623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ ma07676400) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ ma07676400) |
| 208000000X Pediatrics (Licence: NJ ma07676400) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ ma07676400) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |