| NPI | 1225319130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD H90000) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09418500) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 83693) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB09418500) | |
| 208M00000X Hospitalist (Licence: SC 83693) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-12-01 |