NPI | 1013995893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06048800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 191952) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2016-05-11 |