| NPI | 1902469091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.016117) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB11584800) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-09-12 |