| NPI | 1659782464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD467409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10153300) |
| 208M00000X Hospitalist (Licence: NJ 25MA10153300) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-11-23 |