| NPI | 1780786822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T7688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241581) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 241581) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-07-21 |