NPI | 1609289404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10617700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207301) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2019-07-31 |