| NPI | 1629168356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ MA05362200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA05362200) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-05-07 |