NPI | 1417074741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 104452) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 104452) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |