| NPI | 1275891913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T7027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120955) |
| 207R00000X Internal Medicine (Licence: MI 4301099886) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301099886) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME120955) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2022-05-25 |