| NPI | 1063823193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11091700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273044) |
| 207R00000X Internal Medicine (Licence: IN 01080998A) | |
| 208M00000X Hospitalist (Licence: ND 22457) | |
| 208M00000X Hospitalist (Licence: MA 273044) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2025-06-10 |