NPI | 1134124464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 214341) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A065060) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2022-01-03 |