| NPI | 1528298247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162658) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA09277900) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09277900) | |
| 208M00000X Hospitalist (Licence: NC 2025-03452) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2026-04-21 |