| NPI | 1982869525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25ma08798100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01509) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-09-01 |