| NPI | 1174942148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A168461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A168461) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A168461) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2023-01-24 |