| NPI | 1538376421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09750900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt186213) |
| 207R00000X Internal Medicine (Licence: MD D67793) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-02-05 |