| NPI | 1033435375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 274950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000054190) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD0000054190) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2019-06-18 |