| NPI | 1629163779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL A524-660-61-062-0) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 182538) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-07-14 |