NPI | 1427041854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 250874) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 162867) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2023-09-26 |