| NPI | 1033117437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 218641) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 218641) |
| 207R00000X Internal Medicine (Licence: CT 44021) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME136084) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 44021) | |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2024-07-05 |