| NPI | 1427009570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 12271) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 38967) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 479) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD197555) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-04-29 |