| NPI | 1700046950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116019989) |
| 208M00000X Hospitalist (Licence: SC 35133) | |
| 207R00000X Internal Medicine (Licence: NE 26405) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA08860600) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2026-06-24 |