| NPI | 1982976791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 270183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 004109) |
| 207R00000X Internal Medicine (Licence: NY 270183) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2021-09-23 |