| NPI | 1427161777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA04507700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA04507700) |
| 207R00000X Internal Medicine (Licence: NY 1572601) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA04507700) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-11-20 |