| NPI | 1124439682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D95278) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD210002603) |
| 207R00000X Internal Medicine (Licence: AZ R74398) | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2023-11-22 |