| NPI | 1245578632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09389000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09389000) |
| 208M00000X Hospitalist (Licence: PA MD449178) | |
| 207R00000X Internal Medicine (Licence: PA MD449178) | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2020-10-19 |