| NPI | 1881985588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 2724241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2724241) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2021-04-28 |