| NPI | 1477993392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 39545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35945) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2025-01-03 |