| NPI | 1457664880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 202103075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448878) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD448878) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-02-28 |