| NPI | 1366962359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2021006568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017020754) |
| 207R00000X Internal Medicine (Licence: MO 2021006568) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-06-25 |