| NPI | 1902817554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08981400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 39637) |
| 207R00000X Internal Medicine (Licence: KY 38688) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-02-29 |