| NPI | 1093177594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10684300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10684300) |
| 208M00000X Hospitalist (Licence: NJ 25MA10684300) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-06-27 |