| NPI | 1255302832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME136861) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0050733) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME40867) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2019-09-16 |