| NPI | 1437159670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09309900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105590) |
| 207R00000X Internal Medicine (Licence: NY 228787) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-10-17 |