| NPI | 1952759581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 298457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266967) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-05-19 |