| NPI | 1720227002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA OS018260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB0896500) |
| 208M00000X Hospitalist (Licence: NJ 25MB08906500) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-10-18 |