| NPI | 1063866598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A167740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2019-0064) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-02-28 |