NPI | 1427182518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 149040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 14904001) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2008-06-10 |