| NPI | 1902907124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00026772) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL MD26772) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-03-07 |