NPI | 1417343674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11873500) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 296860) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2023-09-12 |