| NPI | 1104807684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-13862) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD11497) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C55215) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-05-26 |