NPI | 1841315702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09593000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235776) |
207R00000X Internal Medicine (Licence: NJ 25MA09593000) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2017-02-08 |