| NPI | 1720440126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11495900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470099) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-09-15 |