| NPI | 1922230135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09099100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095262) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2015-04-09 |