| NPI | 1003264284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL OS18562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5099) |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2022-10-12 |