| NPI | 1457508574 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10363400)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL AN52403945894)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 24183)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD26046)  | |
| Enumeration Date | 2008-08-20 | 
| Last Update Date | 2024-02-14 |