| NPI | 1609297522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10527300) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10527300) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2020-11-03 |