| NPI | 1790170645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0090999) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 314564) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10647900) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101280427) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-03-01 |