| NPI | 1154749323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A149280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 149280) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-01-19 |