| NPI | 1508000183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 076320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0034934) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2021-06-24 |