| NPI | 1215349451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 333581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289730) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 333581) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-04-13 |