| NPI | 1932350782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD167284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ Resident) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD167284) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2014-08-28 |