| NPI | 1831552397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 300824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 300824) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10968300) | |
| 207R00000X Internal Medicine (Licence: MA 283416) | |
| 208M00000X Hospitalist (Licence: MD D90671) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-01-23 |