| NPI | 1285819045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 18078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08425700) |
| 207R00000X Internal Medicine (Licence: PA MD434667) | |
| 207R00000X Internal Medicine (Licence: ME 018755) | |
| 207R00000X Internal Medicine (Licence: NH 18078) | |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2018-03-17 |