| NPI | 1740540871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD31894) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA03611000) |
| 207R00000X Internal Medicine (Licence: AL MD31894) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2022-07-21 |