| NPI | 1356634869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10191156-1204) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA R-09968) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA DO-04712) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-01-04 |