| NPI | 1568789634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: NJ 25MA09472500) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: NY 271281) | |
| 208M00000X Hospitalist (Licence: NY 271281) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2015-08-31 |