| NPI | 1013276187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E12014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043544) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2019-08-21 |