| NPI | 1851741284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10537400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036177827) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2026-03-25 |