| NPI | 1811203342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB11662800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270640) |
| 207R00000X Internal Medicine (Licence: NH LT 3382) | |
| 207R00000X Internal Medicine (Licence: NJ 25MB11662800) | |
| 207R00000X Internal Medicine (Licence: CT 52817) | |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2023-12-28 |