| NPI | 1518926534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND PT12968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47892) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-11-04 |