| NPI | 1609848431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 143885) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA03944500) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD422677) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2010-01110) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2019-01-17 |