| NPI | 1598008088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458438) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-08-26 |