NPI | 1497983795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME109257) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08612000) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2022-02-09 |