| NPI | 1447434428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 236891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245704) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08982500) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD443470) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2017-12-08 |