| NPI | 1740259746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08951700) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 227125) |
| 208M00000X Hospitalist (Licence: CT 043946) | |
| 207R00000X Internal Medicine (Licence: KY 38625) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-04-09 |