| NPI | 1720355365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD476591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01484) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2022-06-14 |