NPI | 1780787804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286774) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90696) |
207R00000X Internal Medicine (Licence: GA 062129) | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2017-02-03 |