| NPI | 1972690998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB05838800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ MB58388) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-09-16 |