| NPI | 1275988750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 290288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267184) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-03-21 |