| NPI | 1346583259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0064013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 265943) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-07-15 |