| NPI | 1376951004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09554600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09554600) |
| 208M00000X Hospitalist (Licence: NJ 25MA09554600) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-07-18 |