NPI | 1295396158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 5233) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 5233) |
208D00000X General Practice (Licence: NJ 25MB11222600) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-21 |
Last Update Date | 2025-08-19 |