| NPI | 1194161406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A13745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A13745) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV V82267) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2024-03-18 |