| NPI | 1962767764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09769500) |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2022-07-21 |