| NPI | 1578184123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA12732700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT226728) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-07-07 |