| NPI | 1851824270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 27091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-3339) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-11-09 |