| NPI | 1447453808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 309225) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR0056629) |
| 207R00000X Internal Medicine (Licence: PA MD438429) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-09-01 |