| NPI | 1275593899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB09316100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS012332) |
| 207R00000X Internal Medicine (Licence: NJ 25MB09316100) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-10-21 |