| NPI | 1821108861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 193986) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 193986) |
| 207R00000X Internal Medicine (Licence: NY 193986) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-10-21 |