| NPI | 1962474742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 139772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 219979) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 219979) | |
| 208M00000X Hospitalist (Licence: NY 219979) | |
| 208M00000X Hospitalist (Licence: NJ MA56381) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-01-07 |