| NPI | 1518969195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD13508) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD430853) |
| 207R00000X Internal Medicine (Licence: NJ 25MA07714300) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 253653) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2024-09-17 |