| NPI | 1710271895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB10340700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016851) |
| 208M00000X Hospitalist (Licence: PA OS016851) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-08-02 |