NPI | 1184663270 |
---|---|
Former Name | MARK S SIEGEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 160775) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MA 160775) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2017-11-14 |