| NPI | 1548536204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 61419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 61419-20) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2019-09-19 |