NPI | 1801236906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10566800) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 262628) |
207R00000X Internal Medicine (Licence: MA 262628) | |
Enumeration Date | 2013-07-03 |
Last Update Date | 2019-06-05 |