| NPI | 1639282908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: NY 112227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 29698) |
| 207R00000X Internal Medicine (Licence: NY 112227) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-03-19 |