| NPI | 1457323008 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07816300) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 42487) | 
| 207R00000X Internal Medicine (Licence: CT 042487) | |
| Enumeration Date | 2006-02-07 | 
| Last Update Date | 2017-05-10 |