| NPI | 1407098098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 259919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259919) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2015-07-16 |