| NPI | 1932366697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 26784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051415) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-03-24 |