| NPI | 1952532327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09037900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437953) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-10-20 |