| NPI | 1730549205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB10580000) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB10580000) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2023-11-27 |