| NPI | 1508356890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD482136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD482136) |
| 207R00000X Internal Medicine (Licence: NJ 25MA12000500) | |
| 208M00000X Hospitalist (Licence: NJ 25MA12000500) | |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2024-03-25 |