| NPI | 1295972735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08722800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 1295972735) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2019-09-11 |