| NPI | 1104874395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162409) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA07997300) |
| 207R00000X Internal Medicine (Licence: NJ 25MA07997300) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-09-21 |