| NPI | 1912162066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09076600) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 249612) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-06-24 |