| NPI | 1487792503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25 MA08540300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 27764) |
| 207R00000X Internal Medicine (Licence: WA MD61285705) | |
| 208M00000X Hospitalist (Licence: AZ 38054) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-03-21 |