| NPI | 1982058889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10952100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 299875) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10952100) | |
| 208M00000X Hospitalist (Licence: NY 299875) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2022-01-21 |