| NPI | 1730534512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10475000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0013099) |
| 208M00000X Hospitalist (Licence: NJ 25MB10475000) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-10-20 |