NPI | 1033153689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB07854800) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB078548) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2021-12-16 |