| NPI | 1578608162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA05244400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA05244400) |
| 208M00000X Hospitalist (Licence: NJ 25MA05244400) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA0524400) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA0524400) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-11-25 |