| NPI | 1063402261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 194419) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 194419) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2015-04-16 |