| NPI | 1770727265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 278982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD040780) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2023-05-15 |