| NPI | 1013356237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09796600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt204817) |
| 207R00000X Internal Medicine (Licence: DE C1-0012514) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-11-22 |