| NPI | 1851820229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD481253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213991) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC md048196) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-05-30 |