| NPI | 1477700763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 54547) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 62717) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01077423A) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-07-21 |