NPI | 1447504378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281823) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10237500) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2025-06-20 |