| NPI | 1992850887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ MA54946) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC MD33319) |
| 208M00000X Hospitalist (Licence: PA MD 435724) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-12-12 |