| NPI | 1386268191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12583900) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA12583900) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036179759) | |
| 207R00000X Internal Medicine (Licence: IL 036179759) | |
| 208M00000X Hospitalist (Licence: NJ 25MA12583900) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2026-05-18 |