| NPI | 1164402137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 56549) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 40652) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 35936) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-02-08 |