NPI | 1174918999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12122100) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 293425) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-07-29 |