| NPI | 1902287196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A156539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263613) |
| 207R00000X Internal Medicine (Licence: CA A156539) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-04-22 |