| NPI | 1063788727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A126717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A126717) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A126717) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2021-09-16 |