| NPI | 1619358892 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB10540300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10540300) |
| 208M00000X Hospitalist (Licence: NJ 25MB10540300) | |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2024-10-15 |