| NPI | 1821193467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C129982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0008081) |
| 207R00000X Internal Medicine (Licence: CA C129982) | |
| 208M00000X Hospitalist (Licence: NJ 25MA08181300) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |