| NPI | 1457448847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 12989901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 129899) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-08-25 |