| NPI | 1043319890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 037682) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 037682) |
| 174400000X Specialist (Licence: SC 17759) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 037682) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-03-03 |