| NPI | 1811490766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB10997200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10997200) |
| 208M00000X Hospitalist (Licence: PA OS021783) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-11-07 |