| NPI | 1417187576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 126547) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 126547) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 126547) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-08-17 |