| NPI | 1174781678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-18603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269733) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD464922) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-10-14 |