| NPI | 1992123772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2022-00662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268626) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101268626) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-03-21 |