| NPI | 1336346527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 102861) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 30132) |
| 207R00000X Internal Medicine (Licence: SC LL30132) | |
| 207R00000X Internal Medicine (Licence: SC 30132) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-12-01 |