| NPI | 1023277290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09282000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12780) |
| 208M00000X Hospitalist (Licence: NJ 25MA09282000) | |
| 208M00000X Hospitalist (Licence: NV 12780) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-06-01 |