| NPI | 1548429228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 52672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 144171) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-03-07 |