| NPI | 1598118895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-46362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268508) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-08-08 |