| NPI | 1346220019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200000238) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101050263) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0038348) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-07-16 |