| NPI | 1407083454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 287686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446120) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2017-04-03 |