| NPI | 1245615707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 071571) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA11369500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11369500) | |
| 208M00000X Hospitalist (Licence: CT 071571) | |
| 208M00000X Hospitalist (Licence: PA MD464229) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-07-08 |