NPI | 1609890193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB06319300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB06319300) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB06319300) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-12-15 |