| NPI | 1720092562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 12644) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 272639) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-00791) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2026-05-01 |