| NPI | 1508220856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 192868) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD224604) |
| 207R00000X Internal Medicine (Licence: NY 299633) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-03-26 |