| NPI | 1225475973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101269850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101269850) |
| 207R00000X Internal Medicine (Licence: DC MD043301) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-02-24 |