| NPI | 1548550585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD16977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285523) |
| 207R00000X Internal Medicine (Licence: MI 4301099394) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10612800) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-04-27 |