| NPI | 1013142314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 273985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 273985) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09642200) | |
| 174400000X Specialist (Licence: NY 273985) | |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2017-04-13 |