NPI | 1003840430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA06971300) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA06971300) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2025-03-05 |