| NPI | 1417510728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 14833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-01495) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-07-07 |