| NPI | 1417990086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09080200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 278149) |
| 207R00000X Internal Medicine (Licence: NY 278149) | |
| 207R00000X Internal Medicine (Licence: OH 35-125837) | |
| 207R00000X Internal Medicine (Licence: PA MD441875) | |
| 208M00000X Hospitalist (Licence: ME MD24463) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-08-06 |