| NPI | 1194816082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME122156) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 175541) |
| 207R00000X Internal Medicine (Licence: NY 175541) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-02-25 |