| NPI | 1891908265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08233400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440502) |
| 208M00000X Hospitalist (Licence: NJ 25MA08233400) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-02-05 |