| NPI | 1770581696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA07265700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD073255L) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD073255L) | |
| 208M00000X Hospitalist (Licence: PA MD073255L) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2021-01-31 |