| NPI | 1801095864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09544000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003193) |
| 208M00000X Hospitalist (Licence: NY 003193) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-06-11 |