| NPI | 1396368171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 35731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11747) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-07-06 |