| NPI | 1184604563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB06948800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB06948800) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2013-02-20 |