| NPI | 1609229566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11634500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD483401) |
| 208M00000X Hospitalist (Licence: WV 28963) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-12-05 |