| NPI | 1063699460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2023-01942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-01942) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01069151A) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-11-17 |