| NPI | 1538493754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101259584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194768) |
| 207R00000X Internal Medicine (Licence: PA MD450636) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TRN22059) | |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2023-10-25 |