| NPI | 1629156153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08023400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 278949) |
| 207R00000X Internal Medicine (Licence: NY 278949) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-05-23 |