| NPI | 1992153498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS019387) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10873900) |
| 208M00000X Hospitalist (Licence: PA OS019387) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-07-17 |