| NPI | 1073521506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101049582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101049582) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD26130) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-02-15 |