| NPI | 1972688414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2012-01496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237500) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-04-09 |