| NPI | 1447504378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281823) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10237500) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2025-06-20 |