| NPI | 1295834265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A110283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241312) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-02-13 |