| NPI | 1598110678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60939012) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 715667) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 221316) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-05-30 |