| NPI | 1811997794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 055263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09022900) |
| 207R00000X Internal Medicine (Licence: GA 055263) | |
| 208M00000X Hospitalist (Licence: GA 055263) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2019-08-15 |