| NPI | 1225299712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 234439) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2016-03-30 |