| NPI | 1134530454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 76106) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 50555) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 74473-20) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-04-10 |