| NPI | 1043669229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A180566) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10652900) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-12-14 |