| NPI | 1760509533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08214100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08214100) |
| 207R00000X Internal Medicine (Licence: PA MD430425) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2018-06-08 |