| NPI | 1730529108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD487089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256356) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD22671) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2025-01-09 |