| NPI | 1073197778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12023400) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA12023400) |
| 208M00000X Hospitalist (Licence: NJ 25MA12023400) | |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2024-06-28 |