| NPI | 1710921911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD069740L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA08693200) |
| 207R00000X Internal Medicine (Licence: NY 261922) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-10-09 |