| NPI | 1194108373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D95237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209929) |
| 207R00000X Internal Medicine (Licence: PA MD464581) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-08-09 |