NPI | 1033407481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10300900) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101256050) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2020-02-25 |