NPI | 1336463371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 274321) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54687) |
Enumeration Date | 2010-03-19 |
Last Update Date | 2021-12-01 |