| NPI | 1770879371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10462400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD461335) |
| 208M00000X Hospitalist (Licence: PA MD461335) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-10-19 |