| NPI | 1104137405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2023-00961) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036131656) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 14065) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-09-07 |