| NPI | 1083812705 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB08565500) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB08565500) | 
| 208M00000X Hospitalist (Licence: NJ 25MB08565500) | |
| Enumeration Date | 2007-07-03 | 
| Last Update Date | 2024-12-10 |