| NPI | 1407110828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10020100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.34882) |
| 207R00000X Internal Medicine (Licence: PA MT201869) | |
| 207R00000X Internal Medicine (Licence: GA 72401) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-12-28 |