| NPI | 1487766267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2011-00375) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 30609) |
| 207R00000X Internal Medicine (Licence: NY 292417) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-08-17 |