NPI | 1972985448 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 298498) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12009700) |
207R00000X Internal Medicine (Licence: PA MD464916) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2024-06-17 |