| NPI | 1558944017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS023183) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB12248300) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2024-09-16 |