| NPI | 1497712996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 059328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 059328) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 20916) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-12-07 |