| NPI | 1982917233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-00479) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1828786) |
| 207R00000X Internal Medicine (Licence: NC 2016-00479) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2020-04-24 |