| NPI | 1073742144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME167152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01637) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 43092) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-07-10 |