| NPI | 1710271895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB10340700) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS016851) |
| 207R00000X Internal Medicine (Licence: PA OS016851) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2026-05-07 |