| NPI | 1003835232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08240400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055310) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-03-13 |