| NPI | 1043318827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 066857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003017255) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01054448A) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-01-07 |