| NPI | 1053559427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09556300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437785) |
| 208M00000X Hospitalist (Licence: NJ 25MA09556300) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2022-07-21 |