| NPI | 1679972905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09684000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.47745) |
| 207R00000X Internal Medicine (Licence: NC 2022-00059) | |
| 207R00000X Internal Medicine (Licence: GA 97614) | |
| 207R00000X Internal Medicine (Licence: OK 41739) | |
| 207R00000X Internal Medicine (Licence: MS 32476) | |
| 207R00000X Internal Medicine (Licence: PA MD471462) | |
| 207R00000X Internal Medicine (Licence: SC 90789) | |
| 208M00000X Hospitalist (Licence: NJ 25MA09684000) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2024-04-23 |