NPI | 1982652038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07919500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 236025) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-10-14 |