| NPI | 1477755528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A96528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MAO8281700) |
| 207R00000X Internal Medicine (Licence: CA A96528) | |
| 208M00000X Hospitalist (Licence: NJ 25MAO8281700) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2018-06-12 |