| NPI | 1407898588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB05179400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 4511) |
| 207R00000X Internal Medicine (Licence: AR E-8627) | |
| 207R00000X Internal Medicine (Licence: MO 2018001213) | |
| 207R00000X Internal Medicine (Licence: AZ 07-497971-U) | |
| 207R00000X Internal Medicine (Licence: OH 34.013862) | |
| 208M00000X Hospitalist (Licence: AK 7940) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-04-15 |