| NPI | 1023363850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME139647) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 31724) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A153609) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-07-19 |