| NPI | 1942731385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 333845) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD480248) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10771900) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-08-16 |