| NPI | 1518116680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 63043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58370) |
| 207R00000X Internal Medicine (Licence: WI 2226) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ND 13252) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 2226) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-02-09 |