| NPI | 1942422696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 242089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25935) |
| 207R00000X Internal Medicine (Licence: AR E8018) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E8018) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-06-27 |