| NPI | 1306800552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 64970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 64970) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 256054) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 57177) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-10-17 |