| NPI | 1053566257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09389900) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NJ 25MA09389900) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09389900) | |
| 208M00000X Hospitalist (Licence: VA 0101250272) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2024-04-09 |