NPI | 1942208046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 14054) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB03567400) |
207R00000X Internal Medicine (Licence: NH LT-2676) | |
207R00000X Internal Medicine (Licence: NH T-0332) | |
Enumeration Date | 2005-07-12 |
Last Update Date | 2013-02-25 |