| NPI | 1851396360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 148195) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 148195) |
| 207R00000X Internal Medicine (Licence: NY 148195) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-08-14 |