NPI | 1780920645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09272700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09272700) |
Enumeration Date | 2012-12-21 |
Last Update Date | 2019-01-19 |