| NPI | 1346236452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 54797) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0031173) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.207652) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2022-08-02 |