| NPI | 1821241381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 284676) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ NJ84462) |
| 208M00000X Hospitalist (Licence: NJ NJ84462) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA08446200) | |
| 207R00000X Internal Medicine (Licence: NJ NJ84462) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-09-22 |