| NPI | 1609289404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10617700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207301) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-07-31 |