| NPI | 1114934387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 11486) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 38621) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0045325) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-10-30 |