| NPI | 1982019832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2023005587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7275) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 32701) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2024-06-27 |