| NPI | 1669882643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 289736) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10460600) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2021-02-26 |