NPI | 1578782108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251008) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2015-04-14 |