| NPI | 1235698341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036169200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA11457700) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-09-09 |