| NPI | 1194737296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 200100434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200100434) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-12-27 |