| NPI | 1184845760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101243872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200400784) |
| 207R00000X Internal Medicine (Licence: VA 0101243872) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-03-07 |