| NPI | 1619101797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C7-0004258) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB09789700) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2024-02-05 |