| NPI | 1295983807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 268363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003343) |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: NY 268363) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-04-23 |