| NPI | 1306021027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08777300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08777300) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2020-11-17 |