| NPI | 1760034839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT224796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074578) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-07-07 |