| NPI | 1356430607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 98806) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101279895) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2012-02030) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-05-16 |