| NPI | 1952668824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11224900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202389) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2021-10-20 |