| NPI | 1013043520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08199100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD430557) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08199100) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD430557) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA08199100) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD430557) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA08199100) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-02-01 |