| NPI | 1265954861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 25MA10842700) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10842700) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-08-05 |