NPI | 1831683044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT216699) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A180021) |
208M00000X Hospitalist (Licence: NJ 25MA11114100) | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-01-10 |