| NPI | 1467461335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 49124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240354) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-12-31 |