| NPI | 1932499001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0057745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262531) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 26957) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-02-04 |