| NPI | 1710474127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA11371800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA11371800) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2026-04-01 |