NPI | 1700853751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD418180) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD418180) |
207R00000X Internal Medicine (Licence: NJ 25MA09019600) | |
Enumeration Date | 2006-03-08 |
Last Update Date | 2016-12-23 |