| NPI | 1881185254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0024353) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA12653500) |
| 207Q00000X Family Medicine (Licence: NJ 25MA12653500) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-09-03 |