| NPI | 1093770844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 063594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 063594) |
| 207R00000X Internal Medicine (Licence: MO 2003012230) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 35168) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 63594) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-09-05 |