| NPI | 1558715912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2019-01797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22733) |
| 207R00000X Internal Medicine (Licence: NC 2019-01797) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-04-19 |