| NPI | 1568757987 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS12203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12203) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-02-06 |