| NPI | 1568538288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB05709900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB05709900) |
| 207R00000X Internal Medicine (Licence: PA OS007818L) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2024-01-26 |