| NPI | 1417016569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME114286) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 234183) |
| 207R00000X Internal Medicine (Licence: NY 234183) | |
| 207R00000X Internal Medicine (Licence: FL ME114286) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-10-04 |