| NPI | 1952798241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD475017) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA12174600) |
| 207R00000X Internal Medicine (Licence: FL TRN21206) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-08-08 |