| NPI | 1659601128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09280700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09280700) |
| 207R00000X Internal Medicine (Licence: PA MD451873) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2022-09-22 |