| NPI | 1285884213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID O-0884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008024770) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-06-14 |