| NPI | 1417363839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA OS017937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015691) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0102208466) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-04-16 |