| NPI | 1508483553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS20168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076341) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-06-14 |