| NPI | 1760643944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09945300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443893) |
| 208M00000X Hospitalist (Licence: PA MD443892) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-10-02 |