| NPI | 1154311413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD51913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216248) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 216248) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-03-31 |