| NPI | 1063031250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A186194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 12441616-1205) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-07-03 |