| NPI | 1538628631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12664900) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 294844) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-03-20 |