| NPI | 1528314838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD459365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200776) |
| 207R00000X Internal Medicine (Licence: PA MD459365) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-09-08 |