| NPI | 1609832096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 162533) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 162533) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-05-11 |