| NPI | 1982880316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD433774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08352800) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2016-04-27 |