| NPI | 1265969422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 81112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL0006561) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-06-09 |