NPI | 1952568289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D74013) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY ab1876290) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2022-03-09 |