| NPI | 1538555479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10349500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10349500) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2026-06-10 |