| NPI | 1497717458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD12309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0024712) |
| 207R00000X Internal Medicine (Licence: DC MD12391) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0024712) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-03-06 |