| NPI | 1730538505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 267715) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 267715) |
| 207R00000X Internal Medicine (Licence: MA 267715) | |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2024-04-24 |