| NPI | 1346471596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD450608) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101258596) |
| 207R00000X Internal Medicine (Licence: PA MT194786) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-09-17 |