| NPI | 1740767672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11114700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11114700) |
| 207R00000X Internal Medicine (Licence: PA MD478212) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-01-25 |