| NPI | 1437438710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME126030) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ training license) |
| 207R00000X Internal Medicine (Licence: SC 34101) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2016-10-18 |