| NPI | 1679803274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 254882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD216508) |
| 207R00000X Internal Medicine (Licence: NY 254882) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 1295) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2023-09-06 |