| NPI | 1669743118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 36422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 57047) |
| 208M00000X Hospitalist (Licence: MN 57047) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ PERMIT ONLY) | |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2024-07-07 |