| NPI | 1659869691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25ma11177500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.146692) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-01-19 |