| NPI | 1912468851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB12204300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS022965) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-06-10 |