NPI | 1457477853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101271170) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA07310800) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2022-12-05 |