| NPI | 1831683044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT216699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A180021) |
| 208M00000X Hospitalist (Licence: NJ 25MA11114100) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-01-10 |