NPI | 1871055749 |
---|---|
Former Name | JACOB JOSEF KANTROWITZ-SIROTKIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 285073) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04711) |
208M00000X Hospitalist (Licence: MA 285073) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2022-08-12 |