| NPI | 1700351822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2018035137) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2018035137) |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: MO 2018035137) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-09-26 |