| NPI | 1629496195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11596600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464435) |
| 208M00000X Hospitalist (Licence: PA 1629496195) | |
| 208M00000X Hospitalist (Licence: PA MD464435) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-08-24 |