| NPI | 1376504415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07764200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 60 246381) |
| 208M00000X Hospitalist (Licence: NH LT2566) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-08-02 |