NPI | 1619358892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB10540300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10540300) |
208M00000X Hospitalist (Licence: NJ 25MB10540300) | |
Enumeration Date | 2015-06-14 |
Last Update Date | 2024-10-15 |