| NPI | 1538251962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G48267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G48267) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD24919) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2024-04-23 |