| NPI | 1255353785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME61510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0061510) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0061510) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-02-14 |