| NPI | 1457768327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R2691) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101027035) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 77198-21) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2022-12-07 |