| NPI | 1013446285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E-16508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017018407) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2020019589) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-05-30 |