NPI | 1295874279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS10555) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 174885) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2023-10-15 |