| NPI | 1053774687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD476769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476769) |
| 207R00000X Internal Medicine (Licence: MI 4301117096) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-07-16 |