| NPI | 1750339784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA0764700) |
| 208M00000X Hospitalist (Licence: AZ 41991) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-05-30 |