| NPI | 1881959161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301117389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-062338) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2021-03-03 |