| NPI | 1861402638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ MA073009) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME114513) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-12-19 |