NPI | 1811927759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA08067300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08067300) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-10-19 |