NPI | 1285896688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 247440) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247440) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2025-08-26 |