| NPI | 1801236906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME177920) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 262628) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10566800) | |
| 207R00000X Internal Medicine (Licence: MA 262628) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2026-04-10 |