| NPI | 1164425864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 148742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 148742) |
| 207R00000X Internal Medicine (Licence: CT 044347) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 044347) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-09-02 |