| NPI | 1700853751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD418180) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD418180) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09019600) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-12-23 |