| NPI | 1639325657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08450500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00872) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2021-03-30 |