| NPI | 1336432517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 56497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297796) |
| 207R00000X Internal Medicine (Licence: CT 056497) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 297796) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2020-06-11 |