| NPI | 1740423805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 262300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10005400) |
| 207R00000X Internal Medicine (Licence: NY 262300) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10005400) | |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2023-11-09 |