| NPI | 1114133261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ AZ005416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016045) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 005416) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-02-24 |