| NPI | 1831382340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME103890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME103890) |
| 208M00000X Hospitalist (Licence: NJ 25MA08263100) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-03-24 |