NPI | 1710921911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD069740L) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA08693200) |
207R00000X Internal Medicine (Licence: NY 261922) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2023-10-09 |