| NPI | 1750819314 |
|---|---|
| Former Name | REBECCA HERTOG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D91556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301501830) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2021-08-02 |