| NPI | 1255794756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-17644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 322557) |
| 207R00000X Internal Medicine (Licence: CA 150591) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-07-29 |