| NPI | 1205131976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09041300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD444712) |
| 208M00000X Hospitalist (Licence: TX P8993) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2014-03-03 |