| NPI | 1689670770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 228792) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 132744) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 228792) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 132744) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2019-10-28 |