| NPI | 1356597827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AK 160492) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WY 9699A) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2020-08-12 |