| NPI | 1467700484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 201900763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42625) |
| 207R00000X Internal Medicine (Licence: PA MT201859) | |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2022-02-01 |