| NPI | 1679720718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD478977) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA FE1879987) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD042540) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2023-11-06 |