| NPI | 1679758437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08431100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0008767) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2018-03-17 |