| NPI | 1922625268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME166837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125076517) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-06-05 |