| 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 |