NPI | 1417440439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11082800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11082800) |
208M00000X Hospitalist (Licence: NJ 25MA11082800) | |
Enumeration Date | 2018-06-13 |
Last Update Date | 2025-07-07 |