NPI | 1457369233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA os007761L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25mb10523400) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2022-11-09 |