| NPI | 1790045268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2015-00068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00068) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2023-05-19 |