| NPI | 1659533370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37857) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08932500) | |
| 208M00000X Hospitalist (Licence: NJ 25MA08932500) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-02-15 |