| NPI | 1821484353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD463551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209275) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-09-05 |