NPI | 1235229105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507548) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 236840) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-06-24 |