| NPI | 1871564039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV DO1498) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 51979) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 227568) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2017-10-30 |