| NPI | 1134501232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11956700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 72731) |
| 207R00000X Internal Medicine (Licence: DE C1-0012615) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-11-21 |