| NPI | 1558447516 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0078436) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0078436) | 
| 207R00000X Internal Medicine (Licence: MI 4301064397) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301064397) | |
| Enumeration Date | 2006-10-31 | 
| Last Update Date | 2024-07-18 |