| NPI | 1093783532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 03506) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS15064) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN DO1370) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-07-23 |