| NPI | 1831530237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09810100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-205259) |
| 208M00000X Hospitalist (Licence: PA MD460393) | |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2021-10-04 |