| NPI | 1629599451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2020013291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070036) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2020-06-18 |