| NPI | 1437315579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 249524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME157306) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2024-03-05 |