| NPI | 1245213891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 280813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 8326) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 8326) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-06-24 |