| NPI | 1225096050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301038649) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 207R00000X) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-10-20 |