NPI | 1235322165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25ma08152400) |
Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NJ 25ma08152400) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2024-04-12 |