| NPI | 1770508053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0008367) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 134677-1) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ ma42243) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-16 |