| NPI | 1962720482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10157300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 55893) |
| 207R00000X Internal Medicine (Licence: NY 270682) | |
| 208M00000X Hospitalist (Licence: IL 036151866) | |
| 208M00000X Hospitalist (Licence: NY 270682) | |
| 208M00000X Hospitalist (Licence: KY 55893) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2023-12-11 |