| NPI | 1053561977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08882300) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C10009115) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md427910) | |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2017-05-02 |