NPI | 1194872325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04997500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 141740) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2019-07-22 |