| NPI | 1447441209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 251304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A116033) |
| 207R00000X Internal Medicine (Licence: PA MD441198) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-12-17 |