| NPI | 1487917365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09430600) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA09430600) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2023-07-10 |