| NPI | 1053446922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A26106) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 120156) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 29335) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-05-16 |