| NPI | 1396969077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ ma73128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ ma73128) |
| 207R00000X Internal Medicine (Licence: CA a95014) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA a95014) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 42848) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-08-24 |