| NPI | 1437178860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 187397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 033927) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-07-05 |