| NPI | 1164870242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10672100) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB10672100) |
| 208M00000X Hospitalist (Licence: PA OS020251) | |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2023-12-28 |