| NPI | 1063862381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 84403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64240) |
| 207R00000X Internal Medicine (Licence: MN 27504) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 64240) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-09-10 |