| NPI | 1295239945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 287579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071884) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-05-12 |