| NPI | 1144584129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 56741) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71527) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 71527) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-03-22 |