NPI | 1457796534 |
---|---|
Other Name | JIMMY ROTENBERG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD457664) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-05-02 |
Last Update Date | 2020-09-10 |