| NPI | 1134339104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2011-01682) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M-13339) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-04-26 |