| NPI | 1427158716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME 018751) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 8994) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME TD101035) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-12-15 |