| NPI | 1467436519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME155664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 037342) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10684700) | |
| 208M00000X Hospitalist (Licence: CT 037342) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2023-06-19 |