| NPI | 1336590363 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E16762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E16762) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-03-06 |