| NPI | 1225085400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA07248900) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD071534L) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-04-25 |