| NPI | 1356789200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 92581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG163291) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD H87177) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-10-17 |