| NPI | 1326092180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ MA04415600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA04415600) |
| 207U00000X Nuclear Medicine (Licence: NJ MA04415600) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-06-08 |