| NPI | 1366702805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD27061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044175) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101267410) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2023-06-22 |