NPI | 1457323008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07816300) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 42487) |
207R00000X Internal Medicine (Licence: CT 042487) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2017-05-10 |