| NPI | 1740321041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 068013) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 236977) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 87094) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-03-03 |