| NPI | 1366725335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09776400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287210) |
| 207R00000X Internal Medicine (Licence: MI 4301099713) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA09776400) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2024-02-05 |