NPI | 1881221588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 73546) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 321806) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-06-06 |