| NPI | 1770855652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09344300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09344300) |
| 208D00000X General Practice (Licence: NJ 25MA09344300) | |
| 208M00000X Hospitalist (Licence: NJ 25MA09344300) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2021-03-18 |