| NPI | 1245670983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 273386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256554) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2025-03-14 |