NPI | 1902217300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10039800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10039800) |
Enumeration Date | 2014-05-20 |
Last Update Date | 2022-01-24 |