| NPI | 1487925038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09542400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275926-1) |
| 208M00000X Hospitalist (Licence: NJ 25MA09542400) | |
| 208M00000X Hospitalist (Licence: NY 275926) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2024-05-02 |