| NPI | 1962812727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 5581753-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A137872) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2021-12-16 |