| NPI | 1871541060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09953500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2223991) |
| 208M00000X Hospitalist (Licence: NY 2223991) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-03-10 |