| NPI | 1669424271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA C37034) |
| Additional Taxonomies | 207RH0005X Internal Medicine Hypertension Specialist (Licence: CA A58771) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-26 |