| NPI | 1326226044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 050692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247371) |
| 207R00000X Internal Medicine (Licence: CT 050692) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2013-01-21 |