| NPI | 1639490204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2019-01423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01423) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-07-19 |