| NPI | 1740532613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 280333) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MBO9700) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OSO15878) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2016-08-11 |