| NPI | 1700370715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11136700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216755) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-10-17 |