NPI | 1740226158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 174958) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041010) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-08 |