| NPI | 1538423124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12184800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD465462) |
| 207R00000X Internal Medicine (Licence: NY 282178) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2025-05-07 |