| NPI | 1477084838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 1.066150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66150) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-08-04 |