| NPI | 1467680918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2017-01100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01100) |
| 207R00000X Internal Medicine (Licence: MD P23983) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-02-12 |