| NPI | 1548215825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 98625) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 28564) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 12165036-1205) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-03-05 |