| NPI | 1669679700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09045100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60051023) |
| 208M00000X Hospitalist (Licence: WA MD60051023) | |
| 208M00000X Hospitalist (Licence: NJ 25MA09045100) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-12-28 |