| NPI | 1366691552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 51970) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E-7540) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2022-11-18 |