| NPI | 1619321098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A172928) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA105701000) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-07-10 |