NPI | 1801136759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25ma09249900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma09249900) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2013-02-28 |