| NPI | 1245587765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11854300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 74461) |
| 208M00000X Hospitalist (Licence: IL 036136326) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-03-01 |