| NPI | 1801473020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12156600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX W2509) |
| 208M00000X Hospitalist (Licence: TX W2509) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-01-22 |