| NPI | 1326608365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11518400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD478494) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-09-15 |