| NPI | 1225096506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301106743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1395-TEP) |
| 207R00000X Internal Medicine (Licence: NY 259051) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-11-27 |