| NPI | 1437404274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME130777) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09426100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-02-26 |