| NPI | 1295014579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 295690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 295690) |
| 207R00000X Internal Medicine (Licence: CT 53122) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 59152) | |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: NY 295690) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-04-19 |