| NPI | 1023422474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2020027326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 583423) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A149358) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-43656) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-09-08 |