| NPI | 1922394998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME125381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:060521) |
| 207R00000X Internal Medicine (Licence: FL 20716) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-12-01 |