| NPI | 1003203704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA11246500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294961) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2021-10-19 |