| NPI | 1124235221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 114601) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 114601) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 114601) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |