| NPI | 1740469485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08338700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD422775) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08338700) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2023-11-21 |