| NPI | 1336637149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2024-0948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2024-0948) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-09-13 |