| NPI | 1518354026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT208960) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 304875) |
| 207R00000X Internal Medicine (Licence: NJ 2MA11866800) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-05-29 |