| NPI | 1376956433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 61882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259254) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-09-21 |