NPI | 1669679700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09045100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60051023) |
208M00000X Hospitalist (Licence: WA MD60051023) | |
208M00000X Hospitalist (Licence: NJ 25MA09045100) | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2023-12-28 |