| NPI | 1083691398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M-15593) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 26977) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-01-04 |