| NPI | 1992075451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 293754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0080817) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2023-02-28 |