| NPI | 1043606486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 286545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10656300) |
| 207R00000X Internal Medicine (Licence: FL ME135339) | |
| 208M00000X Hospitalist (Licence: IL 036158670) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-11-10 |