NPI | 1386684785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 205783) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 205783) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-02-26 |