| NPI | 1407176621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08978600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08978600) |
| 207R00000X Internal Medicine (Licence: CT 048883) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-01-29 |