| NPI | 1710187018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 53224) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: WI 53224-21) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2021-01-04 |