| NPI | 1841315702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09593000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235776) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09593000) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2017-02-08 |