| NPI | 1316096522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301101657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92724) |
| 207R00000X Internal Medicine (Licence: MI 4301101657) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-12-08 |