| NPI | 1922455237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11654800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0013088) |
| 207R00000X Internal Medicine (Licence: MD D92354) | |
| 208M00000X Hospitalist (Licence: DE C1-0013088) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2025-03-30 |