| NPI | 1316467541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301501800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271086) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-09-30 |