| 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 |