| NPI | 1336469220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN MD57667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244565) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2022-03-23 |