| NPI | 1194179333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10813200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25ma10813200) |
| 208M00000X Hospitalist (Licence: MD D90245) | |
| 207R00000X Internal Medicine (Licence: RI MD16585) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2026-08-26 |