| NPI | 1508845991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 30588) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME75040) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 25903) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-19 |