| NPI | 1144281973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 262973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 119533) |
| 207R00000X Internal Medicine (Licence: IL 036.117496) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 262973) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-02-26 |