NPI | 1326023953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: NY 165665) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 1656651) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2014-03-02 |