| NPI | 1790948016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB09468700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09468700) |
| 207R00000X Internal Medicine (Licence: RI DO00673) | |
| 207R00000X Internal Medicine (Licence: PA OT012513) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-02-05 |