| NPI | 1134166937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08310200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD425956) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-02-05 |