| NPI | 1952695421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 291830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09575200) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-05-12 |