| NPI | 1669853271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS021324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016362) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2021-06-22 |