| NPI | 1093153751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R9761) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 66093) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-07-25 |