NPI | 1093956054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258976) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma08815400) |
Enumeration Date | 2009-03-20 |
Last Update Date | 2022-09-26 |