NPI | 1891942645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2581181) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112877) |
Enumeration Date | 2008-08-23 |
Last Update Date | 2024-11-12 |