| NPI | 1043310881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 33237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33237) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 63010) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-06-16 |