| NPI | 1285952705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 40594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00284) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2021-06-08 |