| NPI | 1497983795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME109257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08612000) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-02-09 |