| NPI | 1346688140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301502134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502134) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 64249) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-07-27 |