| NPI | 1265580054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD157177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 252391) |
| 207R00000X Internal Medicine (Licence: CA A93195) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-02-10 |