| NPI | 1639117997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME61678) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA04049300) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101042153) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |