| NPI | 1427496983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11431000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11421000) |
| 208M00000X Hospitalist (Licence: NY 278051) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-09-02 |