| NPI | 1184852626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08885800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 253657) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08885800) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2013-07-19 |