| NPI | 1558389684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD066784L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA08871400) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-04-09 |