NPI | 1619293396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11196400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 273152) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 273152) | |
Enumeration Date | 2010-04-20 |
Last Update Date | 2021-10-27 |