| NPI | 1144435033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 245667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247443) |
| 207R00000X Internal Medicine (Licence: NY 245667) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-12-07 |