| NPI | 1427493899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 83152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.33904) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2019-08-08 |