| NPI | 1922427467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 65813-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65813 - 20) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-01-28 |