| NPI | 1447789482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 41101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL41101) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-08-10 |