NPI | 1962442863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 1963371) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1693371) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2012-10-03 |