| NPI | 1447498225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A100369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251274) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2025-10-09 |