| NPI | 1134329022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11723100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036157144) |
| 207R00000X Internal Medicine (Licence: PA MD450422) | |
| 208M00000X Hospitalist (Licence: IL 036157144) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2023-11-27 |