| NPI | 1366682874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME123317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191669) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD041293) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2023-05-24 |