| NPI | 1295977718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 70408) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 55639) |
| 207R00000X Internal Medicine (Licence: WI 55639-20) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2023-08-22 |