| NPI | 1043534506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08894200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA08894200) |
| 207R00000X Internal Medicine (Licence: PA MD448680) | |
| 208M00000X Hospitalist (Licence: PA MD448680) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2014-09-17 |