| NPI | 1033120316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD038484L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA03853500) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-05-01 |