| NPI | 1215167960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09132500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA09132500) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09132500) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2023-09-05 |