| NPI | 1386872893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101026537) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ME LT20082) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL OS11605) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-02-23 |