| NPI | 1639445539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 62045) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA09458100) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2023-03-07 |