NPI | 1285049171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA11505600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131017) |
207R00000X Internal Medicine (Licence: NY 301042-01) | |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD472047) | |
Enumeration Date | 2014-06-30 |
Last Update Date | 2024-06-20 |