NPI | 1659307528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 164085-1) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 164085) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 164085) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-03-17 |