| NPI | 1154527562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0054124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81282) |
| 207R00000X Internal Medicine (Licence: CO DR.0054124) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 27968) | |
| 207R00000X Internal Medicine (Licence: NE 27968) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-03-22 |