| NPI | 1396902839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME119572) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101246310) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 42453) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-109951) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-01-03 |