NPI | 1346235926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA06374000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06374000) |
208D00000X General Practice (Licence: NJ 25MA06374000) | |
Enumeration Date | 2005-09-20 |
Last Update Date | 2016-01-26 |