| NPI | 1457452260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101039508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 01010395008) |
| 174400000X Specialist (Licence: VA 0101039508) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-01-15 |