NPI | 1407935398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA09316200) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE c1-0008263) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 256242) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2013-08-23 |