| NPI | 1346861135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 70731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046261) |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2023-08-28 |