| NPI | 1902023211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD433394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245174) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT184886) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-05-10 |