| NPI | 1497160386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-13971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13971) |
| 207R00000X Internal Medicine (Licence: MO 2017022861) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-08-27 |