NPI | 1699948240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 195111) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME66965) |
Enumeration Date | 2008-04-03 |
Last Update Date | 2017-01-07 |