| NPI | 1972959385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 59255) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 32201) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-01-18 |