| NPI | 1164816476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301504369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107133) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-06-15 |