| NPI | 1477132934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA12089800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD484469) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-03-18 |