| NPI | 1699046748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11494000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266546) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036152383) | |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2022-09-01 |