| NPI | 1891073482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 73605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09541600) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2015-07-14 |