| NPI | 1417452970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB11579600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS021723) |
| 208M00000X Hospitalist (Licence: PA OS021723) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-11-08 |