| NPI | 1114925732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 223950) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 11467054) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 058792) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2023-03-03 |