| NPI | 1497833883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A100840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A100840) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08143200) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-22 |