| NPI | 1821400441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 89372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L215855) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2021-07-01 |