| NPI | 1225390701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 34841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL34841) |
| 207R00000X Internal Medicine (Licence: SC 34841) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2021-05-14 |