| NPI | 1619973393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C166929) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA05729100) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 34489) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-02-27 |