| NPI | 1134157019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101263232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.24120) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME103543) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 38693) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-11-22 |