| NPI | 1417140096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D81159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233017) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2023-03-31 |