| NPI | 1740401066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08388800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185099) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-06-23 |