| NPI | 1396032751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME165380) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 82004) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 172183) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 100366) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-01-16 |