| NPI | 1194991737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-127800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255474) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2024-05-16 |