| NPI | 1669687711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 55127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434668) |
| 207R00000X Internal Medicine (Licence: PA MT 186577) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-02-28 |