| NPI | 1538395272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD465064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056346) |
| 207R00000X Internal Medicine (Licence: IA 39808) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-08-30 |