| NPI | 1285253815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11851400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01096135A) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-08-01 |