| NPI | 1720273253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY P81576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232339) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11703500) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2024-01-07 |