| NPI | 1891012332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NJ 25MA09671300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56713-20) |
| 207R00000X Internal Medicine (Licence: NJ 25MAO9671300) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA09671300) | |
| 208M00000X Hospitalist (Licence: NJ 25MA09671300) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-05-07 |