| NPI | 1073834388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD448810) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 57945) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00649) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2023-08-08 |