| NPI | 1205840337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 179543) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 179543) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-03-11 |