NPI | 1336249523 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA06288900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA62889) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2019-09-12 |