| NPI | 1184042681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 55662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 55662) |
| 207R00000X Internal Medicine (Licence: NY 296344) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-04-24 |