| NPI | 1447790563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10973600) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD483485) |
| 207R00000X Internal Medicine (Licence: PA MD483485) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10973600) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2026-01-16 |