| NPI | 1245438548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 13602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08271400) |
| 208M00000X Hospitalist (Licence: NH 13602) | |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2011-07-14 |