| NPI | 1124447347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101020921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L206910) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-12-14 |