| NPI | 1124099734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 183525) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 183525) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-06-12 |