| NPI | 1255534079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 50057) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 58692) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35095430) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-09-25 |