| NPI | 1427090026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 207283-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207283) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-07-05 |