NPI | 1982659074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 142273) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA59062) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD443958) | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2014-03-04 |