| NPI | 1902283013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101283205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 310853) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2023-02240) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-10-03 |