| NPI | 1750335014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD26753) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042-0013148) |
| 174400000X Specialist (Licence: OR MD26753) | |
| 207R00000X Internal Medicine (Licence: OR MD26753) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-07-11 |