NPI | 1821306994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A138911) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 273304) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2022-12-19 |