| NPI | 1316250707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 259096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4707) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-07-27 |