| NPI | 1194916908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB08582400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08582400) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-01-06 |