| NPI | 1336586684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A136125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-255335) |
| 207R00000X Internal Medicine (Licence: CA A136125) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-10-14 |