NPI | 1356310155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 159327) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA48558) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2007-07-08 |