| NPI | 1770531154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 167252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 167252) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD450644) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-12-12 |