| NPI | 1548830763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12361500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA12361500) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-10-03 |