| NPI | 1386849719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD482284) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07906400) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R5485) | |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2023-08-30 |