| NPI | 1699742932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07966000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242149-1) |
| 207R00000X Internal Medicine (Licence: PA MD427233) | |
| 208M00000X Hospitalist (Licence: PA MD427233) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2025-01-05 |