| NPI | 1023427267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-02077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09776200) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2020-10-26 |