| NPI | 1033232434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD431845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242109) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-11-18 |