| NPI | 1659532596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-02291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08960100) |
| 207R00000X Internal Medicine (Licence: NC 2013-02291) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-07-14 |