| NPI | 1346571320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 261QM1300X) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-01453) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2024-01-24 |