| NPI | 1285295485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 330088) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB11516000) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-06-03 |