| NPI | 1083722524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 46483) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME82868) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2004-0063) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-12-13 |