| NPI | 1780845966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD443137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443137) |
| 208M00000X Hospitalist (Licence: NJ 25MA09907900) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-05-14 |