| NPI | 1770738205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101254804) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ ma073456) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 215868) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2023-08-08 |