| NPI | 1841608049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 82068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064723) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-08-15 |