| NPI | 1659703163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 49009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09291600) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2023-08-17 |