| NPI | 1669796702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08754400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247223) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2014-03-21 |