| NPI | 1033153689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB07854800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB078548) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-12-16 |