| NPI | 1215179882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME 122723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD. 205228) |
| 207R00000X Internal Medicine (Licence: FL ME 122723) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA MD.205228) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2022-09-07 |