| NPI | 1588016372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA110985000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 3513551) |
| 207R00000X Internal Medicine (Licence: PA MT211409) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-02-14 |