| NPI | 1073579397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-121148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 213614) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 213614) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-12-15 |