| NPI | 1083605265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C55725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 211120) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 211120) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2024-04-27 |