| NPI | 1245399740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C55461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8963) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M8963) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 40364) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-10-28 |