| NPI | 1437994969 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 338908) | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MT230312) | 
| Enumeration Date | 2024-06-26 | 
| Last Update Date | 2025-07-29 |