| NPI | 1376954776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2021-01204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-43750) |
| 207R00000X Internal Medicine (Licence: NC 2021-01204) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2023-07-21 |