| NPI | 1417389578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME125962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09362400) |
| 207R00000X Internal Medicine (Licence: FL ME125962) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2015-12-09 |