| NPI | 1639551302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A175765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274053) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 274053) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-03-13 |