| NPI | 1942513759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.303310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 257441) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-01-21 |