| NPI | 1710206909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01215) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 49154) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-07-21 |