| NPI | 1396165874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB10519000) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS019316) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015826) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-03-10 |