| NPI | 1497076327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 3284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09312200) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2021-07-20 |