| NPI | 1457464109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101268590) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 16148) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D32146) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-10-20 |