| NPI | 1487949160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 258283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-247758) |
| 207R00000X Internal Medicine (Licence: MA 258283) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-04-03 |