| NPI | 1477539658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD038682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92521) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101247059) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D70362) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2022-01-10 |