| NPI | 1184064347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 194267) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 26MB09814100) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2017-02-08 |