| NPI | 1558891705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD214252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272368) |
| 207R00000X Internal Medicine (Licence: OR MD214252) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-08-14 |