| NPI | 1770804015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD455755) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD455755) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10234500) | |
| 207R00000X Internal Medicine (Licence: MA L-244022) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-03-04 |