| NPI | 1790360774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12229400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ D12760900) |
| 208M00000X Hospitalist (Licence: NY 330702-1) | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-10-07 |