| NPI | 1417362245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 293863) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293863) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-08-08 |