| NPI | 1376987669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 84770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A134799) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-05-17 |