| NPI | 1336249523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA06288900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA62889) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-09-12 |