| NPI | 1083147128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-17609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64181) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 64181) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-11-13 |