| NPI | 1336190883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2008-01675) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 11269) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 068051) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 20894) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-05-11 |