NPI | 1245595586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 265849) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265849) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2021-03-23 |