| NPI | 1235402967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09539400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 53905) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2020-11-02 |