| NPI | 1851568216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301100056) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.204455) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08160000) | |
| 207R00000X Internal Medicine (Licence: MO 2008019456) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-01-17 |